中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
Chinese Journal of Practical Nervous Diseases
2015年
21期
138-139
,共2页
延续性护理%干预%缺血性脑卒中
延續性護理%榦預%缺血性腦卒中
연속성호리%간예%결혈성뇌졸중
Continuous nursing%Intervention%Ischemic stroke
目的：探讨延续性护理干预在缺血性脑卒中患者中的临床应用效果。方法选取我院2013‐06－2014‐06神经内科收治的71例缺血性脑卒中患者为研究对象，采取数字随机将其分成对照组和干预组。对照组给予常规护理，干预组在对照组的基础上实施延续性护理干预。在干预前和干预后3个月及6个月，采用Barthel指数量表和MMSE分别对患者日常生活能力及认知功能进行评估，同时对2组患者遵医行为的变化进行分析。结果干预后3个月和6个月，2组BI 评分和MMSE评分均有所提高。但2组 BI 评分和 MMSE 评分相比较，差异无统计学意义（t＝－1．350、－0．983、－0．923， P均＞0．05；t＝－0．148、－0．494、－0．093，P均＞0．05）。干预6个月后，干预组按时服药、按时锻炼、按时复诊和合理饮食等遵医行为指标与对照组比较，差异具有统计学意义（χ2＝5．161、5．442、4．064、5．592，P均＜0．05）。结论延续性护理干预能有效改善患者的遵医行为，值得临床应用和推广。
目的：探討延續性護理榦預在缺血性腦卒中患者中的臨床應用效果。方法選取我院2013‐06－2014‐06神經內科收治的71例缺血性腦卒中患者為研究對象，採取數字隨機將其分成對照組和榦預組。對照組給予常規護理，榦預組在對照組的基礎上實施延續性護理榦預。在榦預前和榦預後3箇月及6箇月，採用Barthel指數量錶和MMSE分彆對患者日常生活能力及認知功能進行評估，同時對2組患者遵醫行為的變化進行分析。結果榦預後3箇月和6箇月，2組BI 評分和MMSE評分均有所提高。但2組 BI 評分和 MMSE 評分相比較，差異無統計學意義（t＝－1．350、－0．983、－0．923， P均＞0．05；t＝－0．148、－0．494、－0．093，P均＞0．05）。榦預6箇月後，榦預組按時服藥、按時鍛煉、按時複診和閤理飲食等遵醫行為指標與對照組比較，差異具有統計學意義（χ2＝5．161、5．442、4．064、5．592，P均＜0．05）。結論延續性護理榦預能有效改善患者的遵醫行為，值得臨床應用和推廣。
목적：탐토연속성호리간예재결혈성뇌졸중환자중적림상응용효과。방법선취아원2013‐06－2014‐06신경내과수치적71례결혈성뇌졸중환자위연구대상，채취수자수궤장기분성대조조화간예조。대조조급여상규호리，간예조재대조조적기출상실시연속성호리간예。재간예전화간예후3개월급6개월，채용Barthel지수량표화MMSE분별대환자일상생활능력급인지공능진행평고，동시대2조환자준의행위적변화진행분석。결과간예후3개월화6개월，2조BI 평분화MMSE평분균유소제고。단2조 BI 평분화 MMSE 평분상비교，차이무통계학의의（t＝－1．350、－0．983、－0．923， P균＞0．05；t＝－0．148、－0．494、－0．093，P균＞0．05）。간예6개월후，간예조안시복약、안시단련、안시복진화합리음식등준의행위지표여대조조비교，차이구유통계학의의（χ2＝5．161、5．442、4．064、5．592，P균＜0．05）。결론연속성호리간예능유효개선환자적준의행위，치득림상응용화추엄。
Objective To explore the effects of continuous nursing intervention on ischemic stroke patients .Methods Seventy‐one with ischemic stroke from June 2013 to June 2014 in neurology department of our hospital were selected and ran‐domly divided into two groups according to random number table method .Patients in the control group received routine nursing interventions ,the study group received continuous nursing interventions on the basis of the control group .BI and MMSE were performed to assess the ability of daily life and cognitive function before intervention and after 3‐and 6‐month intervention .And the patients'compliance behavior in two groups were analyzed .Results The scores of MMSE and BI in the two groups at 3rd and 6th month after intervention were significantly higher than those before intervention ,however the difference between the two groups were not statistically significant (t= -1 .350 ,-0 .983 ,-0 .923 ,P>0 .05 ;t= -0 .148 ,-0 .494 ,-0 .093 ,P>0 .05) .Patients'regular medication ,exercise time ,review timely ,proper diet and other indicators of compliance behavior in the study group after 6‐week intervention were significantly improved than that in the control group (χ2 =5 .161 ,5 .442 ,4 .064 , 5.592 ,P< 0 .05) .Conclusion Continuous nursing intervention can improve compliance behavior of stroke patients ,which worthy of further clinical application and promotion .
